JESSIE
What documents are required for a family of four to apply for AHCIP?
1) Proof of Residency
2) Legal entitlement for all
3) Photo ID for adults
Refugee Claimant eligible for AHCIP with working permit?
Work permit states "Does not confer Temporary Resident Status", so not eligible
When disclosing information about an individual you must:
-Consider any expressed wishes of the individual and any other factors that you consider relevant.
- Forward or direct all requests of health information from third parties to the Alberta Health FOIP office
-Forward or direct all requests of health information made by police services to the HIA help desk
What does FOIP stand for?
Freedom of Information and Protection of Privacy Act
When dealing with health information as an Alberta Health Client Service Provider, you will likely:
Collect, use and disclose registration information
When would AHCIP will delete coverage on an existing account for a dependant who has been adopted
- Deletions take effect the date of event, if known
- If the date of event is unknown, deletions take effect the end of the month in which the notification was received
There are three subsidy thresholds based on the AHCIP account
single - $20,970
couple - $33,240
couple with dependants - $39,250
Podiatry services are covered by AHCIP for maximum for what amount
$250
If the student attends school outside of Alberta they must intend to return to Alberta upon completion of their studies, what documents are required
- must present a letter from the registrar’s office each year (except for the first year)
- letter must confirm attendance on a full-time basis - letter must be on school letterhead
What is minimum age to apply for AHCIP?
What is minimum age to apply for BX non-group
16
18
When released in Alberta and in another part of Canada, addition takes effect the later of:
- the date of release
- three months before the application is received
- the first day of the third month after arrival in Alberta or
When is residency control code changed from G to B
Never
TA+TA=NO
Coverage can be reinstated with no gap in the coverage if documents provided states:
"“Temporary Resident status maintained” or “Temporary Resident status restored”
Can a returning resident from OOC with expired Canadian passport apply for AHCIP
Yes
What is the start date for the seniors, who's birthday is 19570216, who arrived ooc on 20240625
20240701
Nathan's coverage was cancelled in 20231130 as he was oop student but returned to AB in 20230425 after finishing his studies - what would you do
Reinstate his coverage as 20231201 and move him on to his own account as well
20240630
Sam returned to AB from within Canada, as a permanent resident effective November 24,2023. On May 02,2024 an application was submitted to reinstate AHCIP coverage, what is the effective date?
20240202
George calls to let you know they are moving to BC on 20240625, when would you cancel the coverage?
20240831
Christina calls to cancel her AHCIP as she is going oop for vacation for only one year and 8 months, and she will be coming back to AB and re-apply. When would you cancel her?
Ask her some questions in regards to the account, offer temporary absence, as she is coming back to AB
What is a Statement of Benefits Paid and how do you request one?
SOBP for the most recent benefit year (July 1 to June 30) to the current year to date.
To request a current SOBP, download and complete the Request for Statement of Benefits Paid form and mail the completed form to the AHCIP office.
Or, place an order using the automated phone system:
Previous years
An SOBP can be requested back to October 1, 1993. There is a fee of $25 plus GST ($26.25) per request for individuals ordering a personal SOBP directly.
Families ordering for more than one person on the same AHCIP account pay only $26.25 for everyone.
To request an SOBP from previous years:
Does the waiting time apply for applicants who reach maximum coverage from their other private insurance
Yes, same policy applies for waiting time
What class Reservists are covered by whom and why?
Class A reservists serve part time, usually on weeknights and weekends; the federal government does not cover them
Class B reservists serve part time for specific tasks o the federal government covers them during periods of service but advises them to maintain provincial coverage to ensure continuity during breaks in service and/or end of duty
Class C reservists serve full-time with the Regular Forces (usually United Nations duties overseas) o the federal government covers them o Their dependants receive provincial coverage
How to make an appeal for a special authorization that is not approved
If they want to make an appeal or wants to speak to someone about the decision you can transfer them to AB PHARMACY or write a letter to Alberta Health Care (provide the mailing address). Blue cross is the ones who process the special authorization but Alberta Health is the one who determines the interactive drug benefit list etc. (as per Jordan)
16 year old dependant is calling on 20240702 to inform us moving oop and does not want ngbx premiums as per rate will change on family account, she is leaving on 20240718, when is her deletion date?
-delete depedant of a family account as of 20240718, reinstate him on his own account as of 20240719 and cancel the account 20240930 with A code